ID

16736

Description

Health sector data set specifications from METeOR, Australia's repository for national metadata standards, developed by the Australian Institute of Health and Welfare (http://meteor.aihw.gov.au/content/index.phtml/itemId/345165) Admitted subacute and non-acute hospital care DSS 2015-16 The Admitted subacute and non-acute hospital care data set specification (DSS) aims to ensure national consistency in relation to defining and collecting information about care provided to subacute and non-acute admitted public and private patients in activity based funded public hospitals. Subacute care in this DSS is identified as admitted episodes in rehabilitation care, palliative care, geriatric evaluation and management care and psychogeriatric care, whereas maintenance care is identified as non-acute care. The scope of the DSS is: • Same day and overnight admitted subacute and non-acute care episodes. • Admitted public patients provided on a contracted basis by private hospitals. • Admitted patients in rehabilitation care, palliative care, geriatric evaluation and management, psychogeriatric and maintenance care treated in the hospital-in-the-home. Excluded from the scope are: • Hospitals operated by the Australian Defence Force, correctional authorities and Australia's external territories. © Australian Institute of Health and Welfare 2015 Metadata and Classifications Unit Australian Institute of Health and Welfare GPO Box 570 Canberra ACT 2601

Link

http://meteor.aihw.gov.au/content/index.phtml/itemId/345165

Keywords

Versions (1)
  1. 8/3/16 8/3/16 -
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August 3, 2016

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Admitted subacute and non-acute hospital care DSS 2015-16 Metadata Online Registry (METeOR)

English

Admitted subacute and non-acute hospital care DSS 2015-16 Metadata Online Registry (METeOR)

1 forms  
Episode of admitted patient care
Description

Episode of admitted patient care

Clinical assessment only indicator
Description

Episode of admitted patient care—clinical assessment only indicator, yes/no/unknown/not stated/inadequately described code N Obligation: Conditional Identifying and definitional attributes Short name: Clinical assessment only indicator Synonymous names: Assessment only indicator METeOR identifier: 550492 Registration status: Health, Standard 11/04/2014 Definition: An indicator of whether an episode of admitted patient care resulted in the patient undergoing a clinical assessment only, as represented by a code. Data Element Concept: Episode of admitted patient care—clinical assessment only indicator Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Yes 2 No Supplementary values: 8 Unknown 9 Not stated/inadequately described Source and reference attributes Submitting organisation: Australian Institute of Health and Welfare Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: • Code 2, Rehabilitation care; • Code 3, Palliative care; • Code 4, Geriatric evaluation and management; • Code 5, Psychogeriatric care; or • Code 6, Maintenance care. Not required to be reported for patients aged 16 years and under at admission. Data element attributes Collection and usage attributes Guide for use: An episode of care is regarded as ‘assessment only’ if a patient was seen for clinical assessment only and no treatment or further intervention was planned by the assessing clinical team. CODE 1 Yes This code is used when the patient was assessed by a clinical team but received no treatment during an episode. These episodes are usually of short duration, normally less than 3 days. CODE 2 No This code is used when the patient was assessed and then goes on to receive treatment. CODE 8 Unknown This code is used when it is unknown whether the patient was seen for assessment only. CODE 9 Not stated/inadequately described This code is used when it is has not been reported whether the patient was seen for assessment only. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Related metadata references: Supersedes Episode of admitted patient care—clinical assessment only indicator, yes/no/unknown code N Independent Hospital Pricing Authority, Standard 31/10/2012 Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

integer

Palliative care phase
Description

Episode of admitted patient care—palliative care phase, code N Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Palliative care phase METeOR identifier: 445942 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The patient's stage of illness or situation within the episode of care in terms of the recognised phases of palliative care, as represented by a code. Data Element Concept: Episode of admitted patient care—palliative care phase Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Stable 2 Unstable 3 Deteriorating 4 Terminal Supplementary values: 9 Not reported Collection and usage attributes Guide for use: The palliative care phase is the stage of the palliative care patient’s illness. CODE 1 Stable The patient symptoms are adequately controlled by established management. Further interventions to maintain symptom control and quality of life have been planned. The situation of the family/carers is relatively stable and no new issues are apparent. Any needs are met by the established plan of care. CODE 2 Unstable The patient experiences the development of a new unexpected problem or a rapid increase in the severity of existing problems, either of which require an urgent change in management or emergency treatment. The family/carers experience a sudden change in their situation requiring urgent intervention by members of the multidisciplinary team. CODE 3 Deteriorating The patient experiences a gradual worsening of existing symptoms or the development of new but expected problems. These require the application of specific plans of care and regular review but not urgent or emergency treatment. The family/carers experience gradually worsening distress and other difficulties, including social and practical difficulties, as a result of the illness of the person. This requires a planned support program and counselling as necessary. CODE 4 Terminal Death is likely in a matter of days and no acute intervention is planned or required. The typical features of a person in this phase may include the following: • Profoundly weak. • Essentially bed bound. • Drowsy for extended periods. • Disoriented for time and has a severely limited attention span. • Increasingly disinterested in food and drink. • Finding it difficult to swallow medication. This requires the use of frequent, usually daily, interventions aimed at physical, emotional and spiritual issues. The family/carers recognise that death is imminent and care is focussed on emotional and spiritual issues as a prelude to bereavement. CODE 9 Not reported The phase of the illness has not been reported. Palliative care phases are not sequential and a patient may move back and forth between phases. Palliative care phases provide a clinical indication of the type of care required and have been shown to correlate strongly with survival within longitudinal prospective studies. Source and reference attributes Origin: Palliative Care Outcomes Collaboration (PCOC) 2009. PCOC V2 Data Definitions and Guidelines. Australian Health Services Research Institute, University of Wollongong, Wollongong. Viewed 24 August 2012, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/ documents/doc/uow090306.pdf Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Collection and usage attributes Guide for use: The bereavement phase of palliative care must not be recorded when reporting this data element. Collection methods: The type of phase is to be recorded at the start of the episode of admitted patient palliative care and for every subsequent change in phase thereafter during the same admitted patient episode. The palliative care provider reviews the patient daily (or at each visit) and records phase changes if and when they occur during the episode. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

integer

Palliative care phase end date
Description

Episode of admitted patient care—palliative phase of care end date, DDMMYYYY Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Palliative care phase end date METeOR identifier: 445598 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The date on which an admitted patient completes a phase of palliative care, expressed as DDMMYYYY. Data Element Concept: Episode of admitted patient care—palliative phase of care end date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase end date must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Collection and usage attributes Guide for use: The end date is the date on which an admitted palliative care patient completes a palliative care phase type. Collection methods: The palliative phase of care end date is to be recorded at the completion of the palliative care phase and at the completion of every subsequent phase thereafter in the same admitted patient palliative care episode. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Palliative Care Outcomes Collaboration Assessment Toolkit. Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong. Viewed 19 September 2012, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/ documents/doc/uow129133.pdf Relational attributes Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

date

Palliative care phase start date
Description

Episode of admitted patient care—palliative phase of care start date, DDMMYYYY Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Palliative care phase start date METeOR identifier: 445848 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 31/10/2012 Definition: The date on which an admitted patient commences a phase of palliative care, expressed as DDMMYYYY. Data Element Concept: Episode of admitted patient care—palliative phase of care start date Value domain attributes Representational attributes Representation class: Date Data type: Date/Time Format: DDMMYYYY Maximum character length: 8 Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the palliative care phase start date must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Collection and usage attributes Guide for use: The commencement date is the date on which an admitted palliative care patient commences a new palliative care phase type. Subsequent phase begin dates are equal to the previous phase end date. Collection methods: The palliative phase of care start date is to be recorded at the commencement of the episode of admitted patient palliative care and at the commencement of every subsequent palliative care phase thereafter in the same admitted patient episode. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Palliative Care Outcomes Collaboration Assessment Toolkit. Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong. Viewed 19 September 2012, http://ahsri.uow.edu.au/content/groups/public/@web/@chsd/@pcoc/ documents/doc/uow129133.pdf Relational attributes Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

date

Primary impairment type (AROC 2012 code)
Description

Episode of admitted patient care—primary impairment type, code (AROC 2012) NN.NNNN Obligation: Conditional Identifying and definitional attributes Short name: Primary impairment type (AROC 2012 code) METeOR identifier: 498519 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Definition: The impairment which is the primary reason for the admission to the sub-acute episode, as represented by a code. Data Element Concept: Episode of admitted patient care—primary impairment type Value domain attributes Representational attributes Classification scheme: Impairment type code (AROC 2012) Representation class: Code Data type: String Format: NN.NNNN Maximum character length: 7 Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 2, Rehabilitation care. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Related metadata references: Supersedes Episode of admitted patient care—primary impairment type, code NN.NNNN Independent Hospital Pricing Authority, Superseded 11/10/2012 Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

text

Type of maintenance care provided
Description

Episode of admitted patient care—type of maintenance care provided, code N[N] Obligation: Conditional Identifying and definitional attributes Short name: Type of maintenance care provided METeOR identifier: 496467 Registration status: Health, Standard 11/04/2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Definition: The type of maintenance care provided to an admitted patient during an episode of care, as represented by a code. Maintenance care is care in which the clinical intent or treatment goal is prevention of deterioration in the functional and current health status of a patient with a disability or severe level of functional impairment. Data Element Concept: Episode of admitted patient care—type of maintenance care provided Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Permissible values: Value Meaning 1 Convalescent care 2 Respite care 3 Nursing home type care 8 Other maintenance care Supplementary values: 98 Unknown 99 Not stated/inadequately described Collection and usage attributes Guide for use: CODE 1 Convalescent care Following assessment and/or treatment, the patient does not require further complex assessment or stabilisation but continues to require care over an indefinite period. Under normal circumstances the patient would be discharged but due to factors in the home environment, such as access issues or lack of available community services, the patient is unable to be discharged. Examples may include: • Patients awaiting the completion of home modifications essential for discharge. • Patients awaiting the provision of specialised equipment essential for discharge. • Patients awaiting rehousing. • Patients awaiting supported accommodation such as hostel or group home bed. • Patients for whom community services are essential for discharge but are not yet available. CODE 2 Respite care An episode where the primary reason for admission is the short-term unavailability of the patient's usual care. Examples may include: • Admission due to carer illness or fatigue. • Planned respite due to carer unavailability. • Short term closure of care facility. • Short term unavailability of community services. CODE 3 Nursing home type care The patient does not have a current acute care certificate and is awaiting placement in a residential aged care facility. CODE 8 Other maintenance care Any other reason the patient may require a maintenance episode other than those already stated. CODE 98 Unknown It is not known what type of maintenance care the patient is receiving. CODE 99 Not stated/inadequately described The type of maintenance care has not been reported. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Origin: Eagar K. et al (1997). The Australian National Sub-acute and Non-acute Patient Classification (AN-SNAP): Report of the National Sub-acute and Non-acute Casemix Classification Study. Centre for Health Service Development, University of Wollongong. Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Conditional obligation: Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 6, Maintenance care. Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No. Not required to be reported for patients aged 16 years and under at admission. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Eagar K. et al (1997) The Australian National Sub-acute and Non-acute Patient Classification (AN-SNAP): Report of the National Sub-acute and Non-acute Casemix Classification Study. Centre for Health Service Development, University of Wollongong. Relational attributes Related metadata references: Supersedes Episode of admitted patient care—type of maintenance care provided, code N Independent Hospital Pricing Authority, Superseded 11/10/2012 Implementation in Data Set Specifications: Activity based funding: Admitted sub-acute and non-acute hospital care DSS 2013-2014 Independent Hospital Pricing Authority, Standard 11/10/2012 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

integer

Person
Description

Person

Level of cognitive ability (SMMSE score)
Description

Person—level of cognitive ability, Standardised Mini-Mental State Examination assessment code N Obligation: Conditional, Maximum occurences: 12 Identifying and definitional attributes Short name: Level of cognitive ability (SMMSE score) Synonymous names: SMMSE score; Mini-Mental score METeOR identifier: 583796 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 23/07/2014 Definition: The person's degree of cognitive ability to process thoughts and respond appropriately and safely, as represented by a Standardised Mini-Mental State Examination (SMMSE) score-based code. Data Element Concept: Person—level of cognitive ability Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 Score of 0 1 Score of 1 2 Score of 2 3 Score of 3 4 Score of 4 5 Score of 5 Supplementary values: 7 Not applicable - item has been omitted 8 Not known/not specified Collection and usage attributes Guide for use: The Standardised Mini-Mental State Examination (SMMSE) is a clinical assessment tool which is used as a screening test for cognitive impairment (Molloy D, Alemayehu E, Roberts R 1991a). The SMMSE consists of 12 items or questions which cover a range of cognitive domains. Each item has a maximum score: Question/ Item number Cognitive domain Maximum score 1 Orientation - time 5 2 Orientation - place 5 3 Memory - immediate 3 4 Language/attention 5 5 Memory - short 3 6 Language/memory - long 1 7 Language/memory - long 1 8 Language/abstract thinking/verbal fluency 1 9 Language 1 10 Language/attention/comprehension 1 11 Attention/comprehension/follow commands/constructional 1 12 Attention/comprehension/ construction/follow commands 3 Total 30 Scores above 1 are not permissible for items 6-11. Scores above 3 are not permissible for items 3 and 12. Scores above 5 are not permissible for items 1, 2 and 4. The scores are summed for the 12 items ranging from a minimum of 0 to a maximum of 30. The SMMSE can be adjusted for non-cognitive disabilities. If an item cannot be modified or adjusted then the item is omitted, reducing the maximum obtainable score from 30. The formula ((Actual score x 30)/Maximum obtainable score) is used to readjust the score to be comparable with unadjusted scores. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Molloy D, Alemayehy E, Roberts R 1991a. Reliability of a standardized Mini-Mental State Examination compared with the traditional Mini-Mental state Examination. American Journal of Psychiatry, Vol. 14:102-105. Molloy D, Alemayehy E, Roberts R 1991a. The Standardised Mini-Mental State Examination tool, Independent Hospital Pricing Authority, Australia. Viewed 4 September 2014, http://ihpa.gov.au/internet/ihpa/publishing.nsf/Content/smmse-lp Molloy D, Alemayehy E, Roberts R 1991a. The Standardised Mini-Mental State Examination guidelines, Independent Hospital Pricing Authority, Australia. Viewed 4 September 2014, http://ihpa.gov.au/internet/ihpa/publishing.nsf/Content/smmse-lp Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only one set of SMMSE scores per Geriatric Evaluation and Management episode are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 4, Geriatric evaluation and management. Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

integer

Level of functional independence (FIM™ score)
Description

Person—level of functional independence, Functional Independence Measure score code N Obligation: Conditional, Maximum occurences: 18 Identifying and definitional attributes Short name: Level of functional independence (FIM™ score) METeOR identifier: 449150 Registration status: Health, Standard 11/04/2014 Definition: A person's level of functional independence, as represented by a FIM™ score-based code. Functional independence is the ability to carry out activities of daily living safely and autonomously. Data Element Concept: Person—level of functional independence Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 1 Total assistance with helper 2 Maximal assistance with helper 3 Moderate assistance with helper 4 Minimal assistance with helper 5 Supervision or setup with helper 6 Modified independence with no helper 7 Complete independence with no helper Collection and usage attributes Guide for use: The Functional Independence Measure (FIM™) is an instrument which indicates a patient's disability level. FIM™ is comprised of 18 items, grouped into 2 subscales - motor and cognition. The motor subscale includes: • Eating • Grooming • Bathing • Dressing, upper body • Dressing, lower body • Toileting • Bladder management • Bowel management • Transfers - bed/chair/wheelchair • Transfers - toilet • Transfers - bath/shower • Walk/wheelchair • Stairs The cognition subscale includes: • Comprehension • Expression • Social interaction • Problem solving • Memory Each item is scored on a 7 point ordinal scale, ranging from a score of 1 to a score of 7. The higher the score, the more independent the patient is in performing the task associated with that item. The total FIM™ score ranges from 18 to 126. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only the Functional Independence Measure scores at admission are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: • Code 2, Rehabilitation care; or • Code 4, Geriatric evaluation and management. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Relational attributes Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

integer

Level of functional independence (total RUG-ADL score)
Description

Person—level of functional independence, Resource Utilisation Groups - Activities of Daily Living total score code N[N] Obligation: Conditional, Maximum occurences: 11 Identifying and definitional attributes Short name: Level of functional independence (total RUG-ADL score) METeOR identifier: 588361 Registration status: Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014 Definition: A person's level of functional independence, as represented by a total RUG-ADL score-based code. Functional independence is the ability to carry out activities of daily living safely and autonomously. Data Element Concept: Person—level of functional independence Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N[N] Maximum character length: 2 Collection and usage attributes Guide for use: The Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) is a four item scale measuring a person's motor function for activities of daily living including: • Bed mobility • Toileting • Transfers • Eating For bed mobility, toileting and transfers, valid values are: 1 - Independent or supervision only 3 - Limited physical assistance 4 - Other than two persons physical assist 5 - Two or more person physical assist Note: a score of 2 is not valid. For eating, valid values are: 1 - Independent or supervision only 2 - Limited assistance 3 - Extensive assistance/total dependence/tube fed Note: a score of 4 or 5 is not valid. Scores are summed for the four ADL variables, i.e. bed mobility, toileting, transfers and eating. A total RUG-ADL score ranges from a minimum score of 4 to a maximum score of 18. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only the Resource Utilisation Groups - Activities of Daily Living (RUG-ADL) scores at admission are required to be reported for maintenance care episodes. RUG-ADL scores at palliative care phase start should be reported for all palliative care phases. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as: • Code 3, Palliative care; or • Code 6, Maintenance care. DSS specific information: For episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 3, Palliative care, the RUG-ADL scores must be reported for each palliative care phase if the episode of admitted patient care had more than one phase. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Fries BE, Schneider DP et al 1994, 'Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III)' Medical Care, vol. 32, pp. 668-685. Relational attributes Implementation in Data Set Specifications: Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014

Data type

integer

Level of psychiatric symptom severity (HoNOS 65+ score)
Description

Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score code N Obligation: Conditional, Maximum occurences: 12 Identifying and definitional attributes Short name: Level of psychiatric symptom severity (HoNOS 65+ score) METeOR identifier: 449363 Registration status: Health, Standard 11/04/2014 Definition: An assessment of the severity of a person's psychiatric symptoms, as represented by a HoNOS 65+ score-based code. Context: Psychiatric symptom severity, persons aged 65 years and over. Data Element Concept: Person—level of psychiatric symptom severity Value domain attributes Representational attributes Representation class: Code Data type: Number Format: N Maximum character length: 1 Permissible values: Value Meaning 0 No problems within the period stated 1 Minor problem requiring no action 2 Mild problem but definitely present 3 Moderately severe problem 4 Severe to very severe problem Collection and usage attributes Guide for use: The Health of the Nation Outcome Scale for elderly people (HoNOS65+) is used to rate adult mental health service users. Together, the scales rate various aspects of mental and social health. HoNOS65+ is answered on an item-specific anchored 4-point scale with higher scores indicating more problems. Each scale is assigned a value of between 0 and 4. The twelve scales are as follows: • Behavioural disturbance • Non-accidental self injury • Problem drinking or drug use • Cognitive problems • Problems related to physical illness or disability • Problems associated with hallucinations and delusions • Problems associated with depressive symptoms • Other mental and behavioural problems • Problems with social or supportive relationships • Problems with activities of daily living • Overall problems with living conditions • Problems with work and leisure activities and the quality of the daytime environment The sum of the individual scores of each of the scales represents the total HoNOS65+ score. The total HoNOS65+ score ranges from 0 to 48, and represents the overall severity of an individual's psychiatric symptoms. Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Data set specification specific attributes Admitted subacute and non-acute hospital care DSS 2015-16 Conditional obligation: Only the HoNOS65+ scores at admission are required to be reported. Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 5, Psychogeriatric care. Data element attributes Source and reference attributes Submitting organisation: Independent Hospital Pricing Authority Reference documents: Health of the Nation Outcome Scales (HoNOS), Royal College of Psychiatrists 1996. Viewed 17 October 2013, http://www.rcpsych.ac.uk/training/honos/whatishonos.aspx Relational attributes Related metadata references: See also Person—level of psychiatric symptom severity, Health of the Nation Outcome Scale score code N Health, Candidate 20/01/2015, Independent Hospital Pricing Authority, Standard 15/10/2014 Implementation in Data Set Specifications: Admitted patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014 Admitted subacute and non-acute hospital care DSS 2015-16 Health, Standard 13/11/2014 Independent Hospital Pricing Authority, Proposed 05/09/2014 Ambulatory patient mental health care cluster Health, Candidate 16/01/2015 Independent Hospital Pricing Authority, Standard 15/10/2014 Residential patient mental health care cluster Independent Hospital Pricing Authority, Standard 15/10/2014

Data type

integer

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Admitted subacute and non-acute hospital care DSS 2015-16 Metadata Online Registry (METeOR)

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
Episode of admitted patient care
Item
Clinical assessment only indicator
integer
Clinical assessment only indicator
Code List
Clinical assessment only indicator
CL Item
Yes (1)
CL Item
No (2)
CL Item
Unknown (8)
CL Item
Not stated/inadequately described (9)
Item
Palliative care phase
integer
Palliative care phase
Code List
Palliative care phase
CL Item
Stable (1)
CL Item
Unstable (2)
CL Item
Deteriorating (3)
CL Item
Terminal (4)
CL Item
Not reported (9)
Palliative phase of care end date
Item
Palliative care phase end date
date
Palliative phase of care start date
Item
Palliative care phase start date
date
Primary impairment type (AROC 2012 code)
Item
Primary impairment type (AROC 2012 code)
text
Item
Type of maintenance care provided
integer
Type of maintenance care provided
Code List
Type of maintenance care provided
CL Item
Convalescent care (1)
CL Item
Respite care (2)
CL Item
Nursing home type care (3)
CL Item
Other maintenance care (8)
CL Item
Unknown (98)
CL Item
Not stated/inadequately described (99)
Item Group
Person
Item
Level of cognitive ability (SMMSE score)
integer
Level of cognitive ability, Standardised Mini-Mental State Examination assessment
Code List
Level of cognitive ability (SMMSE score)
CL Item
Score of 0 (0)
CL Item
Score of 1 (1)
CL Item
Score of 2 (2)
CL Item
Score of 3 (3)
CL Item
Score of 4 (4)
CL Item
Score of 5 (5)
CL Item
Not applicable - item has been omitted (7)
CL Item
Not known/not specified (8)
Item
Level of functional independence (FIM™ score)
integer
Level of functional independence, Functional Independence Measure score
Code List
Level of functional independence (FIM™ score)
CL Item
Total assistance with helper (1)
CL Item
Maximal assistance with helper (2)
CL Item
Moderate assistance with helper (3)
CL Item
Minimal assistance with helper (4)
CL Item
Supervision or setup with helper (5)
CL Item
Modified independence with no helper (6)
CL Item
Complete independence with no helper (7)
Level of functional independence (total RUG-ADL score)
Item
Level of functional independence (total RUG-ADL score)
integer
Item
Level of psychiatric symptom severity (HoNOS 65+ score)
integer
Level of psychiatric symptom severity, Health of the Nation Outcome Scale 65+ score
Code List
Level of psychiatric symptom severity (HoNOS 65+ score)
CL Item
No problems within the period stated (0)
CL Item
Minor problem requiring no action (1)
CL Item
Mild problem but definitely present (2)
CL Item
Moderately severe problem (3)
CL Item
Severe to very severe problem (4)
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